Services

Dr. Kancilia D.C. believes in correcting the cause of a patient's condition and doesn't advocate "long term non-specific treatment programs".


Chiropractic Techniques We Use

Dr. Kancilia D.C. specializes in pain relief, both in managing pain and eliminating it, through Corrective Chiropractic Care using specialized techniques and equipment including:

  • Activator Methods
  • Advanced Muscle Palpation
  • Alternative Chiropractic Adjustments
  • Apollo Cold Laser
  • Applied Spinal Biomechanics
  • Cadwell Nerve Conduction and Electromyography
  • Diagnostic Studies
  • Chiropractic Biomechanics
  • Spinal Decompression
  • Drug Free Pain Management (with cold laser & neurodiagnostic testing)
  • EMS Unit
  • Fitness and Rehab
  • Flexion-Distraction
  • Fuji Musculoskeletal Ultrasound Diagnostics
  • Heat & Electrical Stimulation
  • Interferential Unit
  • Massage Therapy
  • Manual Adjusting
  • Muscle Stim Unit
  • Neuro Muscular Technique
  • Soft Tissue Technique
  • Specific Diversified Technique
  • Traction Table
  • Variable Force Technique


Chiropractic Products & Supplements We Offer

Below are some of the products that we have found over the years to be very helpful in alleviating and correcting conditions:

  • DC Laboratories Supplements (DiscGaurd 303's, Kool Comfort etc)
  • Neck, Low-Back & Joint Supports
  • Standard Process Nutritional Supplements
  • Cervical/Lumbar Block/Traction Devices
  • HEEL Supports - Direct from Germany

Conditions Treated

RB Spine Center has experience in treating a wide variety of health and pain conditions including:

  • Auto Accidents
  • Back Problems
  • Cluster Headaches
  • Diet and Nutrition
  • Disc Problems
  • Exercise Instruction
  • Foot, Ankle & Knee Joints Injuries
  • Headaches
  • Herniated Disc
  • Lower Back Injury
  • Lower Back Pain
  • Migraines
  • Muscle Aches, Sprains and Strains
  • Muscle Spasms
  • Neck Pain
  • Car Accidents
  • Work Accidents
  • Orthopedics
  • Pain Management
  • Personal Injuries
  • Pinched Nerves
  • Pregnancy Care
  • Sciatica
  • Scoliosis
  • Shoulder Pain
  • Spinal Problems
  • Sports Injuries
  • Stress/Tension
  • Upper Back Pain
  • Weekend Warrior Pains and Aches
  • Weight Management
  • Whiplash
  • Work Injuries


Patient Focus

RB Spine Center is a specialized practice that is experienced in treating thousands of injuries and condition of all types, involving auto, whiplash, sciatic pain, neck and back pain, sports injuries and work injuries. We see a wide range of patients, Children, Teens, Adults, and Elders.


Medical Consultation

Our Medical Director, Dr. Richard Mantell, and treating doctor, Dr Rita Starritt, M.D. are Internal Medicine and and pain management specialists. Each patinet is individually seen and findings reviewed to determine the underlying medical conditions.

Our doctors philosophy are to treat the person as a whole.

The doctors at RB Spine Center have expertise in internal medicine , physical medicine, and pain management which enhances the patients' well-being and function. Their goals are your goals to eliminate pain, in a safe and natural approach and aid you in your health recovery.

Rb Spine Center doctors utilizes state of the art technology to help diagnose neurological & muscular conditions by using Nerve Conduction Studies, Electromyography and Diagnostic Ultrasound.


Diagnostic Services:

Nerve Conduction Study: electrodes much like EKG patches are placed along the known course of the nerve. The nerve is stimulated with a tiny electrical current at one point. The nerve must then transmit the signal along its course, and an electrode placed further down the arm or leg captures the signal as it passes it. A healthy nerve will transmit the signal faster and stronger than a sick nerve.

Electromyography: measures the electrical activity in muscles. Muscles normally receive constant electrical signals from healthy nerves, and in return "broadcast" their own healthy electrical signals. During the EMG portion of the test, the doctor places acupuncture like needles into the muscles to record the electrical signal from the various muscles in the arm or leg. If a muscle doesn't receive adequate signals from a sick nerve, it broadcasts signals, which show the muscle is confused.

Neurologist Consultation & Evaluation available for secondary evaluation for work-related injuries, personal injuries and IME.


THE FOLLOWING EXAM FINDINGS WARRANT ELECTRODIAGNOSTIC STUDIES

  • R.O.M. with Pain
  • Joint Pain
  • Headaches
  • Malingering
  • Non-Specific Back Pain
  • Radiating Arm/Leg Pain
  • All Neuro. Abnormalities
  • Blurred Vision Burning
  • Hypoesthesia
  • Nerve Entrapment
  • Positive Neurological Tests
  • Sensory Loss
  • Balance Disorder
  • Disc Disease
  • Loss of Range of Motion
  • Pain with Motion
  • Positive Orthopedics
  • Paraesthesia


THE FOLLOWING HISTORIES WARRANT ELECTRODIAGNOSTIC TESTING

  • Headaches
  • Repetitive Micro Trauma
  • Closed Head Injuries
  • Chronic Pain Syndromes
  • Repetitive Macro Trauma
  • Hot Sensations
  • Weakness
  • Back Pain
  • Ergonomic Stress Syndrome
  • Crush Injuries
  • Cold Sensations
  • Acceleration Injuries
  • Work Related Injuries
  • Motor Vehicle Accidents
  • Diabetes
  • Tingling
  • Numbness
  • Shoulder Pain
  • Deceleration Injuries Joint Pain

COMMON INDICATIONS THAT WARRANT TESTING

  • Positive subjective complaints, no evident objective finding
  • Confirmation of neuropathy, plexopathy, or radiculopathy
  • Continued symptoms when treatment has been rendered
  • To pinpoint an area of injury along the path of a nerve
  • To scale the degree of injury to a portion of a nerve
  • To monitor peripheral neuropathy
  • To monitor the recovery of a nerve after trauma
  • Any radiating symptoms in extremities (upper/lower)
  • Monitor regeneration after trauma
  • To substantiate the presence or lack of nerve compression
  • When other diagnostic procedures are negative but symptoms continue

NON Surgical Knee Treatment

OA X-Ray Thousands Of Americans Are Beating Arthritis , Joint & Knee Pain …Without Drugs and Surgery!

Learn How to Eliminate Knee Pain Associated With Arthritis Once and for All!

 

Are You Tired of KneePain?

  • Are your knees stiff in the morning?
  • Do your knees hurt when going up or down stairs?
  • Do you take ibuprofen, aspirin or other medications for your knee pain?
  • Do the activities you enjoy cause pain around your knees?
  • Do You Have Arthritis?

Return to Freedom.

Discover a Safe, Effective, Non-Surgical Knee Pain Treatment.

If you answered YES to any of these questions, we offer a successful NON-SURGICAL treatment program to relieve your knee pain.

ASK US about our exciting program TODAY!

Receive a consultation on this exciting NEW NON Surgical Joint Fluid Therapy (JFT) injection and get out of pain today!

Also receive a FREE END KNEE PAIN REPORT, which has saved thousands from unnecessary and risky surgery.

Biocare

Supartz Research

 

supartz ortho clinic therapies



Joint Fluid Therapy FAQ's

Q. Will this program work for seriously degenerated knees?

A. Yes. The pain relief and functional benefits in this population are consistently demonstrated in our national data base.


Q. Can you use this program for any other joints?

A. The procedure is not yet FDA approved for other joints, however, Sanofi Aventis, the maker of Hyalgan, is close to getting their drug approved for shoulder and hip injections. Clinical studies have been and are being done for the shoulder at this time.


Q. What is Hyalgan?

A. Hyalgan is a purified mixture of Hyaluronate made from rooster combs and is injected into the knee joint once a week over a 5 week period.


Q. What does Hyalgan do?

  • Stimulates Chondrocyte growth
  • Inhibits cartilage degradation
  • Reduces inflammation
  • Reduces joint effusion
  • Reduces pain by inhibiting nerve receptors

Q. Injection Technique- ultrasound/fluoroscopic guidance with contrast

The Flouroscope/ultrasound is used as “real time” x-ray. Using contrast enables the physician to actually see that the Hyalgan is going into the intra-articular space.

  • Critical- It is essential that Hyalgan is injected into the Intra-articular space!
  • There is evidence that 30-50% of injections were done in the soft tissue of the knee without effusion( missed area)!!
  • Risk of damage to the articular space from probing

Q. Does the patient have to do physical therapy?

A. The 87% success rate of the IAJP program is based on 2 things:

1. The ability to place the viscosupplementation drug (Hyalgan) directly into the intra-articular space of the knee by using the fluoroscope with contrast and

2. Undergoing the specific algorithm of Physical Therapy tested over time. Eliminating either of those would drastically reduce the patient's outcome. We provide you home based exercise to enhance the treatment.


Q. Can the treatment cycle be repeated?

A. Yes, in fact the treatment cycle can be repeated every 6 months. Medicare and most major insurance companies and HMO's have approved the treatment as needed and the average patient has a positive response for 6-12 months.

A five year safety study documents continued improvements with repeated treatment cycles of Hyalgan injections. (“Intra-articular Hyaluronic Acid in the treatment of Osteoarthritis of the Knee: A Long Term Study,” by J.J Scali, M.D

Q.Osteoarthritis Facts:

  • 21 plus million people in America have OA. By 2030 there is an estimated 70 million people that will battle with OA
  • Loss of cartilage and joint surface
  • Affects weight bearing joints: hips, knees, feet, fingers and spine
  • Pain in those affected joints
  • Pain is worsened with prolonged use of that joint
  • Pain is better with rest
  • Stiffness relieved by flexing and movement
  • 4 levels of OA determined by the Lawrence- Kellgren scale. Level 4 being bone on bone.

SFGate.com article - Weight Loss Best Medicine for People with Knee Osteoarthritis

CALL FOR YOU NO OBLIGATION CONSULT TODAY!!!!!

858-485-4887



Acupuncture

What is Acupuncture?

Acupuncture is an effective form of health care that has evolved into a complete and holistic medical system. Practioners of acupuncture and Chinese medicine have used this noninvasive medical system to diagnose and help millions of people get well and stay healthy.

An acupuncturist will place fine, sterile needles at specific acupoints on the body. This activates the body's Qi and promotes natural healing by enhancing recuperative power, immunity and physical and emotional health. It also can improve overall function and well-being. It is a safe, painless and effective way to treat a wide variety of medical problems.

What will my acupuncturists do?

During the initial exam a full health history will be taken, Questions will be asked regarding symptoms, health and lifestyle. Your acupuncturist also may check pulses and your tongue and may conduct a physical exam. This information is then organized to create a complete, accurate and comprehensive diagnosis of where Qi has become blocked or imbalanced. After the interview process, you may receive an acupuncture treatment. Visits with your acupuncturist may last 30 to 90 minutes.

Why do they want to look at my tongue?

The tongue is a map of the body. It reflects the general health of the organs and meridians. Your acupuncturist will look at the color, shape, cracks and coating on your tongue.

What should I expect during treatment?

Where the acupuncture needles has been inserted, you may experience a vague numbness, heaviness, tingling or dull ache. Sometimes people experience a sensation of energy spreading and moving around the needle. This is called the “Qi sensation". All these reactions are good and a sign that the treatment is working. After treatment, you may feel energized or may experience a deep sense of relaxation and well-being.

Do the needles hurt?

The sensation caused by the acupuncture needle caries. Some people feel a little pain as inserted, but most people feel no pain at all. The needles are tiny, just a little lager than a cat's whisker or a human hair.

How deep do they go?

The depth of the insertion varies. For example, your acupuncturist will use a needling technique that is different in fleshier areas, such as your buttocks. Typically, needles are inserted at depths ranging from 1/8" to ½".

How safe is acupuncture?

Acupuncture is extremely safe. It is an all-natural, drug-free therapy, yielding no side effect except feeling relaxation and well-being. There is little danger of infection from acupuncture needles because they are sterile, used once, and then discarded.

What type of schooling do acupuncturists get?

Today, acupuncturists receive 3to 4 years of extensive and comprehensive graduate training at nationally certified schools. All acupuncturists must pass a national exam and meet strict guidelines to practice in every state.

What can acupuncture treat?

Acupuncture is recognized by the National institute of Health (NIH) and the World Health Organization (WHO) to be effective in the treatment of a wide variety of medical problems. Here is a list of a few health concerns that acupuncture has been effective in treating:

  • Addiction - Alcohol, drug, smoking
  • Anxiety
  • Arthritis
  • Asthma
  • Bronchitis
  • Carpal Tunnel Syndrome
  • Chronic Fatigue
  • Colitis
  • Common cold
  • Constipation
  • Depression
  • Dental pain
  • Diarrhea
  • Digestive trouble
  • Dizziness
  • Stress
  • Tennis Elbow
  • Tonsillitis
  • Dysentery
  • Emotional problems
  • Eye problems
  • Facial Palsy/Tics
  • Fatigue
  • Fertility
  • Fibromyalgia
  • Gingivitis
  • Headache
  • Hiccough
  • Incontinence
  • Indigestion
  • Irritable bowel syndrome
  • Low back pain
  • Menopause
  • Menstrual irregularities
  • Tooth pain
  • Trigeminal neuralgia
  • Urinary tract infections
  • Migraine
  • Morning Sickness
  • Nausea
  • Osteoarthritis
  • Pain
  • PMS
  • Pneumonia
  • Reproductive problems
  • Rhinitis
  • Sciatica
  • Seasonal affective disorders (SAD)
  • Shoulder Pain
  • Sinusitis
  • Sleep Disturbances
  • Smoking Cessation
  • Sore Throat
  • Vomiting
  • Wrist pain

Insurance Accepted

Most Insurance Plans are accepted. We offer a comprehensive range of plans, as low as $89* per month no interest for unlimited care. Call our office at 858-345-4114 for more details..

united healthcare, cigna, bluecross shield, medicare,aetena, chase health advance, care credit

Many insurance companies cover up to 100% of our treatment protocol. Please click here to have your insurance questions answered or verifications performed by our insurance specialist, prior to your visit to ensure immediate processing of your treatment.

You can:

Start your care immediately and know that you are covered for all services.

Pay for any deductibles, co-payments and other treatments not covered by insurance.

No annual fees.


We Regularly Treat:

  • Auto Accidents
  • Personal Injuries
  • Complicated Neck, Back, and Musculoskeletal Conditions
  • Patients serious with correction the cause of their conditions.
  • Work Injuries

Languages Spoken:

  • Fluent in English
  • Fluent in Spanish
  • Mandarin, Taiwanese
  • Basic Russian/Ukrainian
  • Basic Hindi

New Patient On-Line

Special Offer

Problem Focused Consultation and Exam Valued At $250
Limited Time Special
Offer only $19!
Call Us

858-345-4887 - San Diego
310-997-2105 - Los Angeles

Get a Free Chiropractic Evaluation at our San Diego, CA Office

Must Present Certificate At Time of Visit

RB Spine Center
16980 Via Tazon #100
San Diego, CA 92127
858-345-4887

Also visit our Los Angeles Office


Easy Access Off the 15 Freeway
Exit Rancho Bernardo Road
Building next to Sharp Rees-Stealy Medical Center

Office Hours:
Monday - Friday Appointments Available
Early Morning and Lunch Time Appointments Available

Testimontials

"Before treatment on Dr. Kancilia's treatment program, I could not walk for long periods of time, too much of anything would have bothered me. Standing, sitting, and working, it caused a lot of pain in my back and neck. Presently the way I am feeling after receiving treatments on this program, my pain is improved greatly, I no longer feel pain in my shoulders and my back. The pain that I do feel only

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